NPI 1043753056
Prairie Ridge Integrated Health Care
Practice location
- Address
- 320 N Eisenhower Ave, Mason City, IA 50401-1521
- Phone
- (641) 424-2391
Authorised official
- Name
- Jeremy Baker
- Title
- Clinician
- Phone
- (641) 530-8055
Registered specialties
Substance Abuse Rehabilitation Facility
Primary
Registry record
- NPI
- 1043753056
- Entity type
- Organization
- NPI issued
- 22 Nov 2016
- Record last updated
- 22 Nov 2016
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.